• Child Health Nursing Research
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• 제23권1호
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• pp.28-36
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• 2017

Purpose: This paper is a report on the concept analysis of family-centered care for hospitalized children. Methods: The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword 'family centered care' or 'family centered nursing' combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19). Results: The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the 'willingness of family to participate', 'competency and willingness of staff,' and 'institution policy and system.' Additionally, family-centered care does significantly impact 'the health of the children', 'family empowerment' and 'work satisfaction and self-confidence of staff'. Conclusion: Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

• Child Health Nursing Research
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• 제8권1호
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• pp.67-76
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• 2002

The purpose of this study was to investigate the level of uncertainty and anxiety in families of hospitalized children. Data were collected through self-report questionnaires which were constructed to include parent's perception of uncertainty and state anxiety. The subjects consisted of 126 families of hospitalized children in one university-affiliated hospital in Daegu. The data were analyzed by the SPSS program. The results were as follows; 1. The mean score of uncertainty was 64.70 (Range=31-95). The mean scores of subsets of the uncertainty were followed as: lack of clarity (2.59), unpredictability (2.46), lack of information (2.22) and ambiguity (2.14). 2. The mean score of state anxiety was 47.93 (Range=20-67). 3.The level of uncertainty was positively correlated to the level of state anxiety. 4. The level of anxiety was different depending on their religion and monthly income. The above findings indicated that the level of uncertainty and the state anxiety in families of hospitalized children were positively correlated. Therefore, nursing intervention for reducing uncertainty and anxiety and improving coping method should be provided for families of hospitalized children.

• 부모자녀건강학회지
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• 제10권2호
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• pp.147-157
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• 2007

Purpose: Assessment of stress and coping effort of hospitalized children's mother are very important factor to support and recover the children. The purpose of this study was to identify the stress and coping effort in mothers whose children are hospitalized. And analyzes the correlation between mother's stress and coping effort on the hospitalized children. Method: This study surveyed 70 mothers whose children are hospitalized. The data was collected for this study at one university hospital in Daejeon from June 1,2007 to July 10, 2007. The instruments used in this study were the mother's stress scale which was developed by Ok-Nam, You(1998), modified by Ho-Jin, Mun(2001), and the mother's coping effort were measured with the Coping Health Inventory for Parents(CHIP) developed by McCubbin and Patterson(1981). The data was analyzed by using SPSS program and include ANOVA, and Pearson's Correlation. Result: The mother's stress was average 2.42 out of a possible 4 points. Type of coping effort was in order of type III(cope with it by understanding medical circumstances)(M=2.73), type I(Cope with it through positive definition)(M=2.43), type II (cope with it by maintaining psychological stability)(M=2.28). Total coping effort according to general character of mothers whose children are hospitalized showed a significant difference in occupation(P<.05). Correlations between mother's stress and total coping effort was r=-.361(P<.05). Conclusion: This study based on nursing of stress and coping effort of hospitalized children's mothers. Pediatric nurses need to establish a stronger communication board and a relationship between medical staff and children's parents so that have supportive information. And to establish a support program that strengthens the coping effort of hospitalized children's mothers.

• Child Health Nursing Research
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• 제22권2호
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• pp.107-116
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• 2016

Purpose: Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. Methods: We searched five electronic databases for relevant articles and used Whittemore and Knafl's integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. Results: Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, (d) coaching of medical staff. Conclusion: For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.

• 부모자녀건강학회지
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• 제22권1호
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• pp.1-9
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• 2019

Purpose: The purpose of this study is to develop educational material for parents of hospitalized preschool children who receive nebulizer therapy treatment. The educational material is aimed at providing information on the correct use of nebulizer. Methods: The development of educational material was based on the ADDIE model and consists of an A4-sized leaflet and a video. Results: The leaflet included basic information, procedures, and cautionary information for nebulizer therapy, as well as frequently asked questions. The one minute and fifty second video is accessed via QR code and provides step-by-step instruction on nebulizer therapy. Conclusion: This study recommends that the educational leaflet and video developed for nebulizer therapy use be provided to parents of preschool children hospitalized in the pediatric ward.

• Child Health Nursing Research
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• 제30권3호
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• pp.176-186
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• 2024

Purpose: With the recent increase in interest in patient safety, prevention of falls in hospitalized children has become important. This study aimed to identify the incidence rate of falls among hospitalized children and explore fall-related characteristics. Methods: This retrospective descriptive study analyzed the medical information of 18,119 patients aged <18 years admitted to a general hospital in South Korea from electronic medical records and fall event reports between January 1, 2018, and September 30, 2023. The study variables included the general and clinical characteristics of the fall group and fall-related characteristics of the fall events. This study employed descriptive statistics and a chi-square test using IBM SPSS version 26.0. Results: Among the patients, 82 fall events were identified. Therefore, the fall incidence rate was 4.5 falls per 1,000 patients. Furthermore, a statistically significant difference was found concerning the type of injury sustained between children >1 year old and those <1 year old, and most cases had no damage or bruises. More cases were found in which falls occurred two days after hospitalization in winter and summer than on the day or the day after hospitalization, which was a statistically significant difference. In addition, fall prevalence was higher between 8 am and 4 pm, and when no caregiver was present. Conclusion: Based on the results of this study, education and interventions to prevent fall events in infants and toddlers should persist throughout hospitalization, and it is necessary to guide continuous management and observation of the caregivers.

• 디지털융복합연구
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• 제14권6호
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• pp.295-307
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• 2016

본 연구의 목적은 입원 아동 부모의 건강정보지향에 건강정보원 신뢰도와 전자 건강문해력이 미치는 영향을 파악하는 것이다. 본 연구의 대상자는 D광역시에 위치한 아동전문병원에 입원한 아동의 부모로서, 자가보고형 설문지에 응답한 총 109명이다. 수집된 자료는 기술통계 및 위계적 회귀분석 등의 방법으로 분석하였다. 건강정보지향에 대하여 일반적 특성 및 아동의 질병관련 특성, 건강정보원 신뢰도 및 전자 건강문해력을 투입한 위계적 회귀분석 결과, 본 모형은 건강정보지향에 대하여 약 40%의 설명력을 보였다(F=8.22, p<.001). 또한 건강정보지향에 가장 큰 영향을 미친 변수는 전자 건강문해력(${\beta}$=.54, p<.001), 건강정보원의 신뢰도(${\beta}$=.21, p=.008), 주관적 건강상태(${\beta}$=.19, p=.016), 연령(${\beta}$=-.15, p=.048)으로 나타났다. 따라서 입원아동 부모의 건강정보지향을 증진시키기 위해서는 전자 건강문해력을 증진시키는 동시에, 아동의 치료 및 건강관리에 대한 신뢰도 높은 건강정보를 제공하는 것이 필요하다. 또한 향후에는 입원아동과 같은 특정 건강문제에 대한 전자 건강문해력을 증진시킬 수 있는 구체적인 대안을 제안할 수 있는 연구가 시도되어야 할 것이다.

• Child Health Nursing Research
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• 제24권4호
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• pp.364-372
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• 2018

Purpose: The aim of this study was to test whether maternal uncertainty and the general characteristics of mothers and children influenced maternal coping. Methods: In this cross-sectional study, 190 mothers whose children had been admitted to the pediatric ward of a general hospital completed self-report questionnaires during their children's hospitalization. The questionnaires assessed the general characteristics of the mothers and children, maternal uncertainty, and maternal coping. Multiple regression analysis was used to test the research model. Results: In the multivariable model, help from one's spouse (t=3.10, p=.002), religion (t=2.68, p=.008), overall ambiguity (t=2.64, p=.009), and family income (t=2.33, p=.021) were associated with higher coping scores. Conclusion: This research model presents possible guidelines for pediatric nurses to provide comprehensive and accurate information on children's illnesses and treatments for mothers of children hospitalized in general hospitals. In particular, nurses should pay more attention to mothers who are not receiving help from their spouses, are not religious, and have a low family income.

• 부모자녀건강학회지
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• 제9권1호
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• pp.3-16
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• 2006

Purpose: The purpose of this study was to provide basic data for hospitalized children under the condition of painful procedure. Method: The data were collected from July 15th to Oct 30, 2003 from 68 hospitalized children suffer from acute disease, 68 mothers take care of children, 14 pediatric ward nurses. To evaluate the degree of pain perception of children, mothers & nurses, face pain rating scale and behavior characteristic were used. Result: The result were as follows. 1) The pain perception score of children, mothers & nurses. child perceived highest as the score of 3.60 2) The most frequent behavioral characteristic children were 'crying(47.1%)' mothers were 'soothing the child(54.4%)' and nurses were 'support not to move(52.9%)' 3) The degree of pain perception of children, mothers and nurses according to subjects' general characteristics and painful procedure, there were stastical difference according to children's age, mothers age and duration of painful procedure 4) There were significant correlation between the degree of pain perception and behavioral characteristics of children, mothers & nurses. Conclusion: Nurses should not underestimate children's pain and need to provide knowledge and information to the child and their parents regarding painful procedure.

• Child Health Nursing Research
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• 제13권3호
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• pp.273-281
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• 2007

Purpose: This study was done to verify the effects of information using photographs on preoperative anxiety of children and their parents. Methods: Participants were 48 hospitalized children and their parents (48 pairs). In the experiment group (18 pairs) photographs were used with the children and parents to provide information before the child underwent an operation. Children and parents in control group (30 pairs) received regular care. Anxiety of children and their parents was measured using both a self-report and physiologic responses (heart rate and blood pressure). The data were analyzed using the SAS program. Results: Compared with the control group, self-reports of the experimental group indicated a significant difference in subjective anxiety. However, there was no decrease in physiologic anxiety as shown by heart rate and blood pressure in those in the experimental group as compared to the control group. Conclusions: Preoperative information using photographs were shown to be an effective method to reduce anxiety of children and their parents.